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<title>Untitled Document</title>
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<!-- #BeginLibraryItem "/Library/Main Menu.lbi" --> 
<table width="780" border="1" cellspacing="5" cellpadding="5">
  <tr align="center">
    <td width="194"><img src="../../images/logo.gif" width="175" height="47"></td>
    <td> <img src="../../images/sleep.gif" width="50" height="50"><br>
      <a href="../course_main_menu.htm">Course</a></td>
    <td> <img src="../../images/sleep.gif" width="50" height="50"><br>
      <a href="../../customer/customer_main.htm">Customer</a></td>
    <td> <img src="../../images/sleep.gif" width="50" height="50"><br>
      <a href="../../media/media_main.htm">Media </a></td>
    <td><img src="../../images/sleep.gif" width="50" height="50"><br>
      <a href="../../listing/list_main.htm">Listing </a></td>
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      <a href="../../myaccount/myaccount.htm">My Account</a></td>
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      <a href="../../user/info/user_menu.htm">User</a></td>
    <td><a href="../../logout.htm">logout</a></td>
  </tr>
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<!-- #EndLibraryItem --><br>
<br>
<table width="780" border="0" cellspacing="1" cellpadding="0">
  <tr> 
    <td height="2" width="534"><font class="heading1">Course | Enrollment | Add</font> 
    </td>
    <td height="2" width="243" align="right"><a href="course_info_list.htm">Back 
      to main menu</a></td>
  </tr>
</table>
<br>
<table width="780" border="0" cellspacing="10" cellpadding="0">
  <tr> 
    <td width="579" valign="top"> <div align="right"> </div><table width="600" border="0" cellspacing="0" cellpadding="1">
  <tr>
          <td height="16">[course code] [course name] - [schedule no.] [schedule name]</td>
  </tr>
</table>
      <br>
      <table width="659" border="0" cellspacing="0" cellpadding="2">
        <tr bgcolor="#CCCCCC"> 
          <td width="128">&nbsp;</td>
          <td width="523"> <div align="right"><a href="course_info_list.htm"><b>Cancel</b></a> 
              | <b><a href="course_add_msg.htm">Save </a></b></div></td>
        </tr>
        <tr> 
          <td>&nbsp;</td>
          <td>&nbsp;</td>
        </tr>
        <tr> 
          <td>Enrol Date :</td>
          <td><select name="select3">
              <option selected>2003</option>
              <option>2004</option>
            </select> <select name="select3">
              <option selected>Jan</option>
              <option>Feb</option>
              <option>Mar</option>
              <option>Apr</option>
              <option>May</option>
              <option>Jun</option>
              <option>Jul</option>
              <option>Aug</option>
              <option>Sept</option>
              <option>Oct</option>
              <option>Nov</option>
              <option>Dec</option>
            </select> </td>
        </tr>
        <tr> 
          <td width="128">First Name :</td>
          <td width="523"> <input name="textfield" type="text" size="30"> </td>
        </tr>
        <tr> 
          <td>Family Name : </td>
          <td><input name="textfield3" type="text" size="30"></td>
        </tr>
        <tr> 
          <td>Tel :</td>
          <td><input name="textfield32" type="text" size="30"></td>
        </tr>
        <tr> 
          <td>Fax :</td>
          <td><input name="textfield33" type="text" size="30"></td>
        </tr>
        <tr> 
          <td>Address :</td>
          <td><textarea name="textfield533" cols="40" rows="4"></textarea></td>
        </tr>
        <tr> 
          <td>E-mail :</td>
          <td><input name="textfield534" type="text" size="40"></td>
        </tr>
        <tr> 
          <td>Profession :</td>
          <td><input name="textfield34" type="text" size="30"></td>
        </tr>
        <tr> 
          <td>Education :</td>
          <td><input name="textfield35" type="text" size="30"></td>
        </tr>
        <tr> 
          <td>Enroller :</td>
          <td><input name="textfield5" type="text" size="40"></td>
        </tr>
        <tr> 
          <td>Enrol Method :</td>
          <td><select name="select">
              <option selected>Online</option>
              <option>Offline</option>
            </select></td>
        </tr>
        <tr> 
          <td>Amount :</td>
          <td><input name="textfield352" type="text" size="30"></td>
        </tr>
        <tr> 
          <td>Payment Method :</td>
          <td><input type="radio" name="radiobutton" value="radiobutton">
            Credit Card 
            <input type="radio" name="radiobutton" value="radiobutton">
            Mail Check 
            <input type="radio" name="radiobutton" value="radiobutton">
            Other 
            <input name="textfield532" type="text" size="40"></td>
        </tr>
        <tr> 
          <td>Credit Card Type :</td>
          <td><input type="radio" name="radiobutton" value="radiobutton">
            Visa 
            <input type="radio" name="radiobutton" value="radiobutton">
            Maste</td>
        </tr>
        <tr> 
          <td height="25">Credit Card Name :</td>
          <td><input name="textfield53" type="text" size="40"></td>
        </tr>
        <tr> 
          <td>Credit Card No. :</td>
          <td><input name="textfield52" type="text" size="40"></td>
        </tr>
        <tr> 
          <td>Expiration Date :</td>
          <td><select name="select2">
              <option selected>2003</option>
              <option>2004</option>
            </select> <select name="select2">
              <option selected>Jan</option>
              <option>Feb</option>
              <option>Mar</option>
              <option>Apr</option>
              <option>May</option>
              <option>Jun</option>
              <option>Jul</option>
              <option>Aug</option>
              <option>Sept</option>
              <option>Oct</option>
              <option>Nov</option>
              <option>Dec</option>
            </select></td>
        </tr>
        <tr> 
          <td width="128">&nbsp;</td>
          <td width="523">&nbsp;</td>
        </tr>
        <tr bgcolor="#CCCCCC"> 
          <td width="128">&nbsp;</td>
          <td width="523"> <div align="right"><a href="course_info_list.htm"><b>Cancel</b></a> 
              | <b><a href="course_add_msg.htm">Save </a></b></div></td>
        </tr>
      </table></td>
  </tr>
</table>
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<br>
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